CASSANDRA ALEXIS DEFORREST (NPI# 1285142935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285142935 |
Entity Type | Individual |
Full Name | CASSANDRA ALEXIS DEFORREST |
Credential | ATC, LAT |
Practice Address |
2015 Highpointe Dr Brandon MS 39042-3169 |
Mailing Address |
861 Westerly Dr Brandon MS 39042-9579 |
Practice Telephone | 6017247310 |
Mailing Telephone | 6013834817 |
Enumeration Date | 2018-01-16 |
Last Update Date | 2018-01-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
AT0843 | MS | Allopathic & Osteopathic Physicians |
Street Address |
2015 HIGHPOINTE DR |
City | BRANDON |
State | MS |
Zip Code | 39042-3169 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972606846 | Michelle Leigh Purvis | Occupational Therapist | 2015 Highpointe Dr, Brandon, MS 39042 | 2006-09-06 |
1730794660 | Kristen E Little | Physical Therapist | 2015 Highpointe Dr, Brandon, MS 39042-3169 | 2020-09-08 |
1306330238 | Hannah Farris Moore | Physical Therapist | 2015 Highpointe Dr, Brandon, MS 39042-3169 | 2018-06-14 |
1366985608 | Jeremy Harvey | Physical Therapist | 2015 Highpointe Dr, Brandon, MS 39042-3169 | 2016-11-18 |
1427400704 | Brenna Grace W Shoemaker | Occupational Therapist | 2015 Highpointe Dr, Brandon, MS 39042-3169 | 2016-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
Find all providers in zip 39042 |
Taxonomy Code | 2081S0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Sports Medicine |
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013566165 | Jordan Lee Huffman | Physical Medicine & Rehabilitation | 134 E Bloomingdale Ave, Brandon, FL 33511-8101 | 2019-09-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821273491 | Oxford Physical Medicine | Physical Medicine & Rehabilitation | 703 N Lamar Blvd, Oxford, MS 38655-3242 | 2008-01-02 |
1053936138 | Sam Jackson Dunnam | Physical Medicine & Rehabilitation | 206b Oxford Rd, New Albany, MS 38652-3115 | 2020-06-15 |
1124383377 | Bulldog Phyisical Therapy and Sports Medicine | Physical Medicine & Rehabilitation | 500 Russell St, 32, Starkville, MS 39759-3413 | 2012-07-12 |
1518271634 | Kirk Emick | Physical Medicine & Rehabilitation | 1810 Manning Way, University, MS 38677-9985 | 2010-07-30 |
1467789404 | Meredith Gore Warf | Physical Medicine & Rehabilitation | 1325 E Fortification St, Jackson, MS 39202-2442 | 2009-11-12 |
1144464074 | Roseworks Inc | Physical Medicine & Rehabilitation | 111 Colony Crossing Way, Suite 250, Madison, MS 39110-7778 | 2009-04-22 |
1700809514 | Sarah Reynolds Foster | Physical Medicine & Rehabilitation | 1325 E Fortification St, Jackson, MS 39202-2442 | 2006-07-25 |
1053334896 | Alan Whitfield | Physical Medicine & Rehabilitation | 1325 E Fortification St, Jackson, MS 39202-2442 | 2006-07-25 |
1932122769 | Pam Joyner | Physical Medicine & Rehabilitation | 1325 E Fortification St, Jackson, MS 39202-2442 | 2006-07-25 |
1992725444 | Stephanie Gorrell | Physical Medicine & Rehabilitation | 1325 E Fortification St, Jackson, MS 39202-2442 | 2006-07-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.